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NUR 101A > Think Like a Nurse 2 > Flashcards

Think Like a Nurse 2 Flashcards

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1
Q

What does AACT stand for?

A
  • Assessment
  • Actions
  • Collaboration
  • Teaching
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2
Q

What is the critical thinking process for assessment?

A
  • Consider the situation
    -Collect information
    -Process that information
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3
Q

What is the critical thinking process for diagnosis?

A

Identify issues

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4
Q

What is the critical thinking process for planning?

A

Establish goals

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5
Q

What is the critical thinking process for implementation?

A

Take Action

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6
Q

What is the critical thinking process for evaluation?

A
  • Evaluate the outcomes
  • Adjust goals and actions according to outcomes
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7
Q

What part of the nursing process is a formal or informal process, addresses unique needs and goals of individual patients, requires communication regarding the plan to all parties, and selection of appropriate nursing interventions to achieve desired outcomes?

A

Planning

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8
Q

What are the three types of planning?

A
  • Initial planning
  • Ongoing planning
  • Discharge planning
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9
Q

What is the first step of planning patient care?

A

Prioritizing the nursing diagnosis

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10
Q

What is the second step of planning patient care?

A

Identifying the patient goals/expected outcomes

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11
Q

What is the third step of planning patient care?

A

Identifying appropriate nursing interventions

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12
Q

What is the fourth step of planning patient care?

A

Communicating the care plan to all involved in its implementation

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13
Q

What are the greatest threats to the patient’s well-being?

A
  • ABCs
  • Maslow’s hierarchy
  • Patient preference
  • Anticipation of future problems
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14
Q

What is the fifth level of Maslow’s hierarchy and what does it mean?

A

Self-actualization

Morality, creativity, spontaneity, problem-solving, lack of prejudice, acceptance of facts

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15
Q

What is the fourth level of Maslow’s hierarchy and what does it mean?

A

Esteem

Self-esteem, confidence, achievement, respect of others, respect by others

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16
Q

What is the third level of Maslow’s hierarchy and what does it mean?

A

Love/belonging
friendship, family, sexual intimacy

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17
Q

What is the second level of Maslow’s hierarchy and what does it mean?

A

Safety

security of body, of employment, of resources, of morality, of the family, of health, of property

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18
Q

What is the first level of Maslow’s hierarchy and what does it mean?

A

Physiological
Breathing, food, water, sex, sleep, homeostasis, excretion

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19
Q

What does outcome mean?

A

any patient response to an intervention (positive or negative)

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20
Q

What does “expected” or “desired” outcome mean?

A

the positive patient response that we hope will occur as a result of an intervention

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21
Q

Outcome statements must be ______

A

S.M.A.R.T

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22
Q

Goals can be ______

A

General or specific

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23
Q

True or False: A broad, or general, goal must be accompanied by specific expected outcome statements

24
Q

What does the S in S.M.A.R.T stand for?

25
What does the M in S.M.A.R.T stand for?
Measurable
26
What does the A in S.M.A.R.T stand for?
Achievable
27
What does the R in S.M.A.R.T stand for?
Relevant
28
What does the T in S.M.A.R.T stand for?
Timed
29
What are four types of goals?
- Cognitive - Psychomotor - Affective - Physical
30
What is a cognitive goal?
objectives that focus on developing intellectual skills, knowledge, and critical thinking abilities
31
What is a psychomotor goal?
a learning objective that focuses on how a person controls or moves their body
32
What is an affective goal?
an objective that focuses on a person's attitude, emotions, values, and beliefs
33
What is a physical goal?
a specific training objective or challenge you set for yourself to improve your physical health
34
True or false: The goal is not always related to the problem
False The problem identifies what needs to change and suggests patient goals and outcomes that demonstrate change has occurred
35
What are nursing interventions?
Actions based on clinical judgement and nursing knowledge that nurses perform to achieve client outcomes
36
What are the three types of interventions?
- Independent (nurse-initiated) - Dependent (provider-initiated) -Collaborative (Interdependent)
37
True or false: The "related" to part of the nursing diagnosis helps guide interventions
True "related to" helps identify factors causing the problem, prevents change - which suggests possible intervention
38
What is the purpose of AACT?
A guideline in clinical to help you identify a comprehensive set of interventions in your nursing care plan
39
True or False: A well-written intervention identifies a WHO, What, WHEN, and sometimes HOW
True
40
True or False: The "AMB/AEB" part of the nursing diagnosis does not suggest interventions
False The evidence describes how we know there is a problem which suggest assessments or actions to be taken, this helps us identify additional interventions
41
You should select interventions that are ____
Effective, cost-efficient, and supported by scientific data
42
Evidence-based practice in nursing combines _____
Nursing knowledge, clinical judgment, and expertise, evidence from research, and patient preferences
43
What are three things to remember with implementation?
Do, delegate, and document
44
What is the "doing" part of implementation?
- Prepare to act - Get organized
45
What is the purpose of nurse protocols and standing orders?
They expand the scope of nursing practice within clearly defined parameters
46
What is the purpose of nurse protocols and standing orders?
They expand the scope of nursing practice within clearly defined parameters
47
What are protocols?
Written plans that detail nursing actions that are to be executed in specific situations
48
What do protocols allow nurses and other members of the healthcare team to do?
Start, modify, or stop an order based on certain criteria
49
What are standing orders?
Actions that ordinarily require the order or supervision of a physician or other provider
50
What is a written agreement between a physician or other prescribing provider that allows the nurse or other member of the healthcare team tp provide specific care or treatment in emergent situations?
Standing orders
51
What does delegation mean according to the OSBN?
The RN may delegate, to other than licensed nursing personnel, tasks relating to the administration of medication and patient care tasks that are ordered or prescribed by a physician-licensed
52
What does it mean to assign according to the OSBN?
The Rn may assign to a practice team member work, the team member is authorized by license or certification and organizational position description to perform in the practice setting
53
What are the five rights of delegation/assignment?
- Right task - Right circumstance - Right person - Right communication - Right supervision
54
What is documentation?
- A record of care provided to the patient - A legal document - Can be used to demonstrate compliance with standards/regulations governing care
55
What is evaluation?
An onging systematic process with the purpose of ensuring positive patient outcomes
56
What are adverse reactions?
an undesirable effect on health caused by a drug, medical device, or natural health product

NUR 101A (22 decks)

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